SEC Form 4 · accession 0001659166-17-000259
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stacey A. Walker
Officer — SVP - Human Resources
Period of report
Nov 15, 2017
Accepted (ET)
Nov 16, 2017 · 5:06 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001659166
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Nov 15, 2017 | M | 773 | — | A | 773 | D | |
| Common Stock | Nov 15, 2017 | F | 212 | $71.85 | D | 561 | D | |
| Common StockF2 | holding | — | — | — | 346 | I | By 401(k) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF1,F3 | — | Nov 15, 2017 | M | 773 | D | — | — | Common Stock | 773 | 1,545 | D |
Explanation of responses
- F1Restricted stock units are payable in shares of common stock on a one-to-one basis.
- F2Based on a plan statement dated as of October 31, 2017.
- F3In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on November 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 3,091 Restricted Stock Units of the Issuer vesting in four remaining equal annual installments beginning on November 15, 2016.